How to prevent and repair obstetric tears

Title: Obstetric Lacerations: Prevention and Repair

The authors reviewed obstetric lacerations that are a common complication of vaginal delivery. These lacerations may cause chronic pain and urinary and fecal incontinence. The claim that perineal massage in the third trimester can reduce lacerations in women who are pregnant for the first time. Additionally, perineal support, perineal massage and warm compresses during the second stage of labor can reduce injury to the anal sphincter.

Citation: Am Fam Physician. 2021 Jun 15;103(12):745-752.

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41-article review of non-pharmacological techniques in pregnancy and childbirth

Title: Non-pharmacological therapies applied in pregnancy and labor: an integrative review

The authors of this study reviewed the literature available of non-pharmacological therapies during pregnancy and labor. The did this by searching any literature published since 2008 in English, Spanish, and Portuguese databases. Overall, 41 articles were analyzed. They divided the articles into 10 categories: massage, perineal massage, hot bath, supportive care, childbirth preparation group, breathing techniques, pelvic floor exercises, transcutaneous electrostimulation, Swiss ball and spontaneous pushing. Six articles showed that when these techniques were used the mother experienced less pain in labor. All the article showed a positive outcome for different variables of labor, such as reduction of time, anxiety and pelvic floor laceration rates.

Citation: Rev Esc Enferm USP 2021 Apr 16;55:e03681. doi: 10.1590/S1980-220X2019019703681. eCollection 2021.

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September 04, 2021